Jang Gun Ja
Associate Professor, Department of Nursing, Daegu University, Daegu, Korea.
Child Health Nurs Res. 2020 Jul;26(3):376-384. doi: 10.4094/chnr.2020.26.3.376. Epub 2020 Jul 31.
This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge.
This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem.
The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge ( =7.17, =.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups ( =1.95, =.164).
The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.
本研究旨在确定针对晚期早产儿（LPI）母亲的母乳喂养指导计划（BCP）对出院后1个月内母乳喂养率和新生儿发病率的影响。
这是一项采用时间序列设计的非随机准实验研究。参与者为40名晚期早产儿及其在大学医院新生儿重症监护病房住院的母亲。19名晚期早产儿被分配到对照组，21名被分配到实验组。实验组中晚期早产儿的母亲在出院当天接受一次母乳喂养指导计划，然后在1个月内每周接受一次。新生儿发病率定义为因晚期早产儿健康问题而到门诊部或急诊室就诊。
出院后第四周，实验组的母乳喂养率显著高于对照组（=7.17，=.028）。对照组和实验组分别有5名和2名晚期早产儿因新生儿黄疸到医院就诊。两组之间的新生儿发病率无显著差异（=1.95，=.164）。
母乳喂养指导计划有助于提高晚期早产儿的母乳喂养率，并可能有降低新生儿发病率的潜力。
